The Cone of Shame Veterinary Podcast

• 349 - Vet Med Mental Health Status Report

  Dr. Brian Bourquin, president of Not One More Vet (NOMV), joins Dr. Andy Roark to unpack the current state of mental health and wellness in veterinary medicine. What started as a small Facebook group has grown into a powerhouse nonprofit providing grants, peer support, accreditation programs, and a safety net for veterinary professionals in crisis.In this candid conversation, Brian shares NOMV’s evolution, the impact of programs like Clear Blueprint and Lifeboat, and what he really thinks about the progress we’ve made in tackling veterinary burnout and mental health challenges. He also opens up about his own journey as a practice owner at Boston Veterinary Clinic, including the hard lessons he learned about leading with compassion and protecting his team. If you’ve ever wondered where veterinary wellness truly stands today, or how leaders can put real change into practice, this episode offers both hope and honest perspective.NOMV.orgRace Around the WorldNOMV CLEAR BlueprintNOMV Advocates Programwww.bostonveterinaryclinic.comBrian Bourquin on LinkedIn: linkedin.com/in/brian-bourquin-3356a6Dr. Andy Roark Resources Dr. Andy Roark Exam Room Communication Tool Box Team Training CourseDr. Andy Roark Charming the Angry Client Team Training CourseDr. Andy Roark Swag Fueled by childhood dreams of being a keeper at his own zoo, Dr. Bourquin realized from a young age his path – a career in veterinary work. His journey began with graduation from Cornell University, the No. 1 school in the U.S. for veterinary medicine. After 13 years as a Boston veterinarian, he founded Boston Veterinary Clinic in 2012, placing an emphasis on trust, compassion, and top-level patient care. Embraced by the pet-loving community and with the aid of like-minded veterinary professionals, the practice has grown to 5 locations, each focusing on the best medicine possible with accreditations from AAHA, Fear Free, and Cat-Friendly Practices.

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• 348 - Vaccine Hesitancy in Pet Parents

  Dr. Simon Haeder joins Dr. Andy Roark to dig into a surprising question: if a parent is hesitant to vaccinate their child, are they also likely to be hesitant about vaccinating their pet? The answer is more complex than you might expect. Drawing from his research published in JAVMA, Dr. Haeder shares insights on the correlation between human and pet vaccine hesitancy, what drives those concerns, and how trust in a veterinarian can be a powerful factor in pet owners’ decisions. The conversation covers everything from social media misinformation to the shifting role of veterinarians in a changing industry, plus what the future of veterinary care could look like in a post-truth world. You will walk away with a fresh perspective on how building long-term relationships with clients can influence public health, patient safety, and the human–animal bond. Let’s get into this episode!Article Referenced: https://avmajournals.avma.org/view/journals/ajvr/86/2/ajvr.24.06.0163.xmlDr. Know-It-All Card Game: https://drandyroark.com/product/dr-know-it-all-card-game/Dr. Andy Roark Charming the Angry Client Team Training Course: https://drandyroark.com/charming-the-angry-client/Dr. Andy Roark Swag: drandyroark.com/shopAll Links: linktr.ee/DrAndyRoarkDr. Simon F. Haeder is an Associate Professor of Public Health at Texas A&M University’s School of Public Health, where he also serves as Health Policy Cognate Chair in the Department of Health Policy and Management. A nationally recognized scholar on health policy, access to care, and vaccine hesitancy, Dr. Haeder’s work bridges human and veterinary medicine, exploring how public perceptions and trust influence healthcare decisions. His research has been published in leading journals such as Health Affairs, Vaccine, and JAVMA, and he is a frequent contributor to national conversations on public health through outlets like The Washington Post, The Conversation, and Health Affairs Blog. With a career spanning academia, policy advising, and interdisciplinary research leadership, Dr. Haeder brings a unique perspective on how trust, science, and policy intersect in shaping the future of healthcare.

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• 347 - When Care Can't Wait: Being Prepared for Critical Cases

  Cone of Shame 347 - When Care Can't Wait: Being Prepared for Critical CasesJulia Sosa, Chief Experience Officer at Pumpkin Pet Insurance, joins Dr. Andy Roark for a must-hear conversation on what happens when care can't wait. Ever had that moment in clinic when a pet’s situation is critical and the client is staring at an estimate, panicked and unsure what to do? This episode dives headfirst into the chaos of urgent cases and how we, as veterinary professionals, can better support clients in the middle of that emotional storm. Julia shares how Pumpkin’s new urgent-pay service, Pumpkin Now, is transforming how pet insurance works in those high-stakes moments, giving owners financial clarity within minutes and helping vet teams stay focused on care, not claims. Dr. Andy and Julia unpack why pet insurance is often misunderstood, what it really means to be “hospital-centric,” and how to streamline workflows without overburdening teams. Whether you’re skeptical of insurance or already a fan, this episode brings new insight into making emergency care more accessible. Gang, let’s get into this episode.PumpkinNow Expedited Payment Terms: Qualified customers with eligible claims for treatments $1k or more could be paid in 15 minutes after submitting a request if their bank accepts real-time payments. For full terms & conditions, visit www.pumpkin.care/pn-terms. For pet insurance terms and conditions, visit: https://www.pumpkin.care/sample-plan/. Products are underwritten by either Independence American Insurance Company (NAIC #26581), or United States Fire Insurance Company (NAIC #21113), and produced by Pumpkin Insurance Services Inc. (“Pumpkin”) (NPN #19084749; CA License #6001617).Pumpkin Care for Veterinarians: https://www.pumpkin.care/for-veterinarians/Charming the Angry Client Course: https://drandyroark.com/charming-the-angry-client/Dr. Andy Roark Swag: https://drandyroark.com/store/All Links: linktr.ee/DrAndyRoarkJulia Sosa is a Design Leader whose lifelong love of animals led to her passion and focus in the pet care and veterinary industries. As a founding member and Chief Experience Officer of Pumpkin, one of the fastest-growing pet insurance companies in the United States, Julia leads UX research, strategy, and product design for their member and veterinary experiences. In January 2024, she started coursework to become a Veterinary Technician and explore her dream of becoming a late-in-life veterinarian.Julia is an active member of the rescue and shelter community and a devoted foster and adoption counselor for the ACC. She is the proud pet mom to two small dogs, two large cats, three chickens, and over 112+ foster kittens (and counting).

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• 346 - Venomous Snake Bites! (HDYTT)

  Dr. Cory Woliver, DVM, emergency and critical care lecturer at the University of Florida, joins Dr. Andy Roark to discuss venomous snake bite management in veterinary practice. Ever wondered how many vials of anti-venom to give when a copperhead or rattlesnake strikes? This episode cuts through the guesswork on coagulation testing, anti-venom dosing strategies, pain control options, and when to hospitalize versus treat as an outpatient. Dr. Woliver explains why steroids, NSAIDs, and routine antibiotics often miss the mark and how early, aggressive anti-venom is your best defense against tissue necrosis. You’ll learn practical tips on evaluating bite severity, setting client expectations, and choosing between strong opioids like methadone or hydromorphone for pain relief. Whether you see one snake bite a season or dozens, this one-stop shop equips you with the science and experience to act confidently under pressure. Let’s get into this episode.National Snake Bite Support Website: https://www.nationalsnakebitesupport.org/Facebook Group: https://www.facebook.com/groups/national.snakebite.support/Snake Bite Foundation Website: https://www.snakebitefoundation.org/Dr. Know-It-All Card Game: https://drandyroark.com/product/dr-know-it-all-card-game/Dr. Andy Roark Charming the Angry Client Team Training Course: https://drandyroark.com/charming-the-angry-client/Dr. Andy Roark Swag: drandyroark.com/shopAll Links: linktr.ee/DrAndyRoarkCory Woliver is a veterinarian practicing as a Clinical Lecturer in Emergency and Critical Care at the University of Florida College of Veterinary Medicine. He earned his BS in biology at SUNY Stony Brook and his DVM at Ross University School of Veterinary Medicine. During his 18-month emergency and critical care-focused internship at Colorado State University, he treated a large number of snake envenomations. He has also earned a certificate in hemodialysis through the University of California – Davis.After his postgraduate training, Dr. Woliver spent several years in private practice in New York before coming to the University of Florida in 2019. His clinical interests include snakebites (especially coral snake envenomations), acute kidney injuries, and extracorporeal therapies. He is currently the PI for the clinical trial using Varespladib in coral snake envenomated patients.

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• 345 - NEW RESEARCH: Relational Coordination in Vet Clinics

  What if improving your clinic’s communication could reduce turnover, boost job satisfaction, and enhance medical quality? Dr. Jason Coe is back on the podcast with brand-new research that shows how “relational coordination” (aka how roles within your team communicate and collaborate) impacts everything from psychological safety to employee retention. In this episode, Dr. Coe and Dr. Andy Roark dive into the findings from a cross-industry communication model now being applied to veterinary teams. They explore what high vs. low relational coordination looks like in real life, how communication systems like impactful rounds and EMR notes can move the needle, and why this data matters for improving not just morale but also patient outcomes. Whether you're a practice owner, a manager, or just someone who wants your team to function better, this episode offers both inspiration and real takeaways. Gang, let’s get into this episode!Linkedin: https://www.linkedin.com/company/relationship-centred-veterinary-medicine-at-the-ontario-veterinary-collegeUniversity of Guelph: https://rcvm.uoguelph.ca/Dr. Know-It-All Card Game: https://drandyroark.com/product/dr-know-it-all-card-game/Dr. Andy Roark Charming the Angry Client Team Training Course: https://drandyroark.com/charming-the-angry-client/Dr. Andy Roark Swag: drandyroark.com/shopAll Links: linktr.ee/DrAndyRoarkDr. Jason Coe is a Professor at the Ontario Veterinary College in Guelph, Ontario, Canada. After graduating from the College in 2001, he returned from mixed-animal practice to complete a PhD in the area of veterinary communications in 2008. In the same year, Jason joined the Ontario Veterinary College in the Department of Population Medicine where he has established an active research program examining the human-animal bond as well as the role of interpersonal communications on the outcomes of veterinary care.  In his current role at the College, he coordinates the clinical-communication curriculum across all 4 years of the veterinary program and is involved in teaching students about the relationships that exist between people and animals.Over the past two decades, Jason has established an international reputation for his leadership in veterinary communications, primary-care veterinary education and understanding the human-animal bond. He has published over 100 peer-reviewed journal articles, contributed to several book chapters, and is regularly invited to speak nationally and internationally at scientific and continuing-education conferences. Jason currently holds the VCA Canada Chair in Relationship-Centred Veterinary Medicine (2021-2026), at the Ontario Veterinary College, dedicated to research and education in communication and relationship-building to improve the outcomes of veterinary care. In 2021, Jason was honoured with the American Veterinary Medical Association’s Bustad Companion Animal Veterinarian of the Year Award for his notable contributions to the veterinary profession and in 2022, he founded the research program Relationship-Centred Veterinary Medicine at the Ontario Veterinary College (https://rcvm.uoguelph.ca/).  

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